third world of the u.s.. definition hospitalist/general pediatrician eagle pass, tx/portland,...
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BUSH ALASKAThird World of the U.S.
Definition
Hospitalist/General Pediatrician
Eagle Pass, TX/Portland, OR/Bethel, AK
Prescreened to work in Alaska
Locum Tenens
Yukon Kuskokwim Delta-Alaska
Bethel, Alaska
Google- “armpit of Alaska” 850 miles west of Anchorage Population- 6500 (70% Native American-
Yu’pik, Chu’pik and Athabascan) Six miles of roads- transportation in/out by
barge(summer only) or plane Taxi capital of North America Permafrost/tundra Milk-$6, Orange Juice-$15 Airport-signs are in Yu’pik
Bethel, Alaska
Indian Health Service One hospital/main clinic/satellite clinics Service area-size of state of Oregon/56
villages/40,000 people Health Aides Medical students/Residents(FP) Medivac/bush plane Clinic appts-boat or airplane
Yukon-Kuskokwim Health Corporation
YKHC Hospital-50 beds
Clinic Appointment Transport
Mekoryuk Air Strip-Medivac
Pediatric Clinic
Hospital Service
On Call
Medivac
Pediatrics-YKHC
Iqmik Aalsma Subsistence living Fish camp Tribal law Honey bucket Dried beaver testicles
Local Terms
Subsistence Living
Yu’pik/Chu’pik/Athabascan Mothers have 12-14 children-keep 6 Breastfeeding uncommon-high Vit D
deficiency Level of education Intermarriage common Immunocompromised
Patient Population
Traditional Dress-Quaspegs
Mukluks
Endemic TB Adrenogenital Syndrome Community Acquired MRSA HIV Pneumonia(7x in first 12 mos life) Bronchiectasis Otitis Media with Perforation Botulism
Common Medical Problems
32 week premature infant-phone resuscitation/4wheeler and plane transport
Coding a 2 month old over the phone
Seizure disorder-out of medication
Child abuse-physical/sexual
Cases
Kipnuk, Alaska
Kipnuk-Preemie Medivac
Typical Housing-Bethel
Bethel Cemetery
Walrus tusks
Questions